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1.
BMC Public Health ; 21(1): 110, 2021 01 09.
Artigo em Inglês | MEDLINE | ID: mdl-33422034

RESUMO

BACKGROUND: The rapid expansion of dengue, Zika and chikungunya with large scale outbreaks are an increasing public health concern in many countries. Additionally, the recent coronavirus pandemic urged the need to get connected for fast information transfer and exchange. As response, health programmes have -among other interventions- incorporated digital tools such as mobile phones for supporting the control and prevention of infectious diseases. However, little is known about the benefits of mobile phone technology in terms of input, process and outcome dimensions. The purpose of this scoping review is to analyse the evidence of the use of mobile phones as an intervention tool regarding the performance, acceptance, usability, feasibility, cost and effectiveness in dengue, Zika and chikungunya control programmes. METHODS: We conducted a scoping review of studies and reports by systematically searching: i) electronic databases (PubMed, PLOS ONE, PLOS Neglected Tropical Disease, LILACS, WHOLIS, ScienceDirect and Google scholar), ii) grey literature, using Google web and iii) documents in the list of references of the selected papers. Selected studies were categorized using a pre-determined data extraction form. Finally, a narrative summary of the evidence related to general characteristics of available mobile health tools and outcomes was produced. RESULTS: The systematic literature search identified 1289 records, 32 of which met the inclusion criteria and 4 records from the reference lists. A total of 36 studies were included coming from twenty different countries. Five mobile phone services were identified in this review: mobile applications (n = 18), short message services (n=7), camera phone (n = 6), mobile phone tracking data (n = 4), and simple mobile communication (n = 1). Mobile phones were used for surveillance, prevention, diagnosis, and communication demonstrating good performance, acceptance and usability by users, as well as feasibility of mobile phone under real life conditions and effectiveness in terms of contributing to a reduction of vectors/ disease and improving users-oriented behaviour changes. It can be concluded that there are benefits for using mobile phones in the fight against arboviral diseases as well as other epidemic diseases. Further studies particularly on acceptance, cost and effectiveness at scale are recommended.


Assuntos
Infecções por Arbovirus/prevenção & controle , Telefone Celular/estatística & dados numéricos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
2.
Nature ; 589(7840): 82-87, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33171481

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic markedly changed human mobility patterns, necessitating epidemiological models that can capture the effects of these changes in mobility on the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)1. Here we introduce a metapopulation susceptible-exposed-infectious-removed (SEIR) model that integrates fine-grained, dynamic mobility networks to simulate the spread of SARS-CoV-2 in ten of the largest US metropolitan areas. Our mobility networks are derived from mobile phone data and map the hourly movements of 98 million people from neighbourhoods (or census block groups) to points of interest such as restaurants and religious establishments, connecting 56,945 census block groups to 552,758 points of interest with 5.4 billion hourly edges. We show that by integrating these networks, a relatively simple SEIR model can accurately fit the real case trajectory, despite substantial changes in the behaviour of the population over time. Our model predicts that a small minority of 'superspreader' points of interest account for a large majority of the infections, and that restricting the maximum occupancy at each point of interest is more effective than uniformly reducing mobility. Our model also correctly predicts higher infection rates among disadvantaged racial and socioeconomic groups2-8 solely as the result of differences in mobility: we find that disadvantaged groups have not been able to reduce their mobility as sharply, and that the points of interest that they visit are more crowded and are therefore associated with higher risk. By capturing who is infected at which locations, our model supports detailed analyses that can inform more-effective and equitable policy responses to COVID-19.


Assuntos
/epidemiologia , Simulação por Computador , Grupos de Populações Continentais/estatística & dados numéricos , Locomoção , Fatores Socioeconômicos , /transmissão , Telefone Celular/estatística & dados numéricos , Análise de Dados , Humanos , Aplicativos Móveis/estatística & dados numéricos , Religião , Restaurantes/organização & administração , Medição de Risco , Fatores de Tempo
3.
Waste Manag ; 119: 275-284, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33099072

RESUMO

Critical high-tech minerals (CHTMs) are raw materials that are essential for a future clean-energy transition and the manufacture of high-end products. Cellphones, one of the fastest growing electronic products, contain various CHTMs. Since 2019, India has surpassed the United States to become the second largest smartphone market in the world. An increasing and alarming number of excessive waste cellphones will be generated in India in the near future. In this study, the dynamic material flow analysis approach and the Weibull distribution are adopted to analyze the volumes of accumulated waste cellphones and the contained CHTMs based on the differentiation between smartphones and feature phones in India. Moreover, a market supply model is adopted to predict the future trends of CHTMs in waste cellphones. The results show a general upward tendency of waste cellphone volume in India, which indicates that various CHTMs contained in cellphone waste can be properly reused or recycled. Future implications based on the analysis results are provided for efficient cellphone management in India.


Assuntos
Telefone Celular , Gerenciamento de Resíduos , Previsões , Índia , Minerais , Reciclagem
5.
Waste Manag ; 120: 530-537, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33162288

RESUMO

The application of laboratory-generated biochar and activated carbon adsorbents in gold iodized solution for the recycling of waste mobile phone printed circuit boards (WMPCBs) is investigated. This research aims to solve problems associated with the existing gold recovery technologies of WMPCBs. Currently, the disposal of WMPCBs is expensive, involves complex processes, and contributes to secondary pollution. In this study, laboratory-generated biochar is produced from corn straw, wheat straw, and wood chips by pyrolysis. The effects of factors on the adsorption efficiency are investigated, and the optimal operating conditions for biochar and activated carbon adsorption are determined. The following optimal parameters were found for activated carbon: temperature = 25 °C, particle size = 40-60 mesh, dosage = 0.05 g/10 mL, pH = 7, reaction time = 2 h, and oscillation frequency = 200 r/min. The adsorption efficiency reached 98.6%. For biochar, optimization involved: raw material from corn straw at a pyrolysis temperature = 700 °C, reaction time = 5 h, oscillation frequency = 200 r/min, pH = 3, dosage = 0.15 g/10 mL, and temperature = 50 °C. An adsorption efficiency of 98% was achieved. The two adsorbents were compared, and results demonstrated that the adsorption properties of the laboratory-generated biochar were slightly inferior to those of the activated carbon; however, they were similar. Biochar adsorption can reuse waste, which may not only solve the current problems related to WMPCB recycling, but can help to achieve a "win-win" situation of increased environmental protection and sustainable utilization of resources.


Assuntos
Telefone Celular , Carvão Vegetal , Adsorção , Ouro
6.
Am J Ophthalmol ; 221: 199-206, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32791067

RESUMO

PURPOSE: With the recent rise of teleophthalmology due to coronavirus disease, health care needs accurate and reliable methods of checking visual acuity remotely. The visual acuity as measured by the GoCheck Kids application was compared with that of the Amblyopia Treatment Study (ATS) and the authors' clinic protocol. DESIGN: This was a prospective, comparison of visual acuity assessment methods. METHODS: Established patients (3-18 years of age) in the practice of a single pediatric ophthalmologist were eligible. Visual acuity was measured 1) by GoCheck Kids mobile application, by the patient's family member; 2) by HOTV-ATS, by study personnel; and 3) by regular clinic protocol, by an ophthalmic technician. To assess agreement between measurement of acuity, intraclass correlations with 95% confidence intervals (CI) were computed. RESULTS: A total of 53 children participated. The mean differences between GoCheck Kids and HOTV-ATS acuities (0.094) were significantly different (P < .001). The intraclass correlation coefficient (ICC) was 0.55 (95% CI: 0.40-0.68). The mean differences between GoCheck Kids and chart acuities (0.010) were not significantly different (P = .319; ICC: 0.59; 95% CI: 0.45-0.71). The mean differences between HOTV-ATS and chart acuities (0.084) were significantly different (P < .001; ICC: 0.66; 95% CI: 0.53-0.76). The percentages of eyes with visual acuity measured by GoCheck Kids within 1 line of the HOTV-ATS and chart acuity were 65.3% and 86.7%, respectively. CONCLUSIONS: GoCheck Kids as checked by a family member provided a modest correlation of visual acuity compared to the chart screen and a fair correlation of visual acuity compared to HOTV-Amblyopia Treatment Study protocol, although most were within 1 line.


Assuntos
Ambliopia/diagnóstico , Telefone Celular , Oftalmologia/métodos , Telemedicina/métodos , Acuidade Visual , Adolescente , Ambliopia/epidemiologia , Ambliopia/fisiopatologia , Criança , Pré-Escolar , Comorbidade , Feminino , Humanos , Masculino , Estudos Prospectivos
7.
J Environ Manage ; 280: 111642, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33293166

RESUMO

Improving the bioleaching efficiency of metals from spent mobile phone printed circuit boards (PCBs) in a short time has been of major interest in recent years. In this paper, a novel cheap catalyst (oak wood biochar) was used to improve the copper and nickel bioleaching efficiency from spent mobile phone PCBs. The biochar was derived from oak wood through slow pyrolysis at a low temperature of 500 °C for 1h. The results of RSM optimization indicated that the optimum conditions to maximize copper and nickel recovery were 1.6 g/L biochar and 16 g/L pulp density. The findings indicated that compared to without the presence of biochar, the leach yields of copper and nickel were high. As much as 98% of copper and 82% of nickel were leached by indirect bioleaching under optimum conditions. The better performance in the presence of biochar is due to both galvanic interactions between biochar and solid waste. The biochemical characterization of bioleaching solution suggested that the high concentration of biochar (> 1.6 g/L) led to copper absorption by functional groups on the surface of biochar. Compared to chemical leaching, the bioleaching has better performance. Under optimum conditions, the copper and nickel recovery by indirect bioleaching was 36% and 64% more than that by chemical leaching. Also, it is found that biochar has a positive effect on the chemical leaching process. Therefore, in this paper, the function of biochar was elaborated not only in bio-hydrometallurgy but also in the hydrometallurgy process.


Assuntos
Telefone Celular , Resíduo Eletrônico , Carvão Vegetal , Cobre/análise , Metais
8.
Proc Natl Acad Sci U S A ; 117(52): 32883-32890, 2020 12 29.
Artigo em Inglês | MEDLINE | ID: mdl-33273120

RESUMO

In the wake of the COVID-19 pandemic many countries implemented containment measures to reduce disease transmission. Studies using digital data sources show that the mobility of individuals was effectively reduced in multiple countries. However, it remains unclear whether these reductions caused deeper structural changes in mobility networks and how such changes may affect dynamic processes on the network. Here we use movement data of mobile phone users to show that mobility in Germany has not only been reduced considerably: Lockdown measures caused substantial and long-lasting structural changes in the mobility network. We find that long-distance travel was reduced disproportionately strongly. The trimming of long-range network connectivity leads to a more local, clustered network and a moderation of the "small-world" effect. We demonstrate that these structural changes have a considerable effect on epidemic spreading processes by "flattening" the epidemic curve and delaying the spread to geographically distant regions.


Assuntos
/prevenção & controle , Pandemias , Quarentena , Análise Espacial , Viagem/estatística & dados numéricos , Telefone Celular , Alemanha , Humanos
9.
Nephrol Nurs J ; 47(6): 529-536, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33377753

RESUMO

Despite the increasing number of consumer-based mobile health applications (mHealth apps) for self-care, there is little research exploring consumers' experiences with mHealth apps. Health apps using mobile technology have the potential to provide a platform for kidney transplant recipients to monitor their self-care in real time. This study explored kidney transplant recipients' perceptions of the usefulness of mHealth apps and identified features that Kidney transplant recipients believe are important for using mHealth apps. A qualitative design was used to explore a purposive sample of adult kidney transplant recipients from a Midwest Transplant Program who used an mHealth app. Qualitative content data analysis revealed three themes participants found useful: health tracking (medication, nutrition, fluid intake, lab values, and activity), feedback (short personalized messages, positive awards using symbols, and color-coded bar graphs indicating normal and abnormal ranges), and usability (large font, words that everyone can understand, and all information stored in one area).


Assuntos
Telefone Celular , Transplante de Rim , Aplicativos Móveis , Autocuidado , Telemedicina/métodos , Adulto , Humanos , Entrevistas como Assunto , Monitorização Fisiológica , Pesquisa Qualitativa , Telemedicina/instrumentação
10.
PLoS One ; 15(12): e0243131, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33259550

RESUMO

INTRODUCTION: Argus is an open source electronic solution to facilitate the reporting and management of public health surveillance data. Its components include an Android-phone application, used by healthcare facilities to report results via SMS; and a central server located at the Ministry of Health, displaying aggregated results on a web platform for intermediate and central levels. This study describes the results of the use of Argus in two regions of Togo. METHODS: Argus was used in 148 healthcare facilities from May 2016 to July 2018, expanding to 185 healthcare facilities from July 2018. Data from week 21 of 2016 to week 12 of 2019 was extracted from the Argus database and analysed. An assessment mission took place in August 2016 to collect users' satisfaction, to estimate the concordance of the received data with the collected data, and to estimate the time required to report data with Argus. RESULTS: Overall completeness of data reporting was 76%, with 80% of reports from a given week being received before Tuesday 9PM. Concordance of data received from Argus and standard paper forms was 99.7%. Median time needed to send a report using Argus was 4 minutes. Overall completeness of data review at district, regional, and central levels were 89%, 68%, and 35% respectively. Implementation cost of Argus was 23 760 USD for 148 facilities. CONCLUSIONS: The use of Argus in Togo enabled healthcare facilities to send weekly reports and alerts through SMS in a user-friendly, reliable and timely manner. Reengagement of surveillance officers at all levels, especially at the central level, enabled a dramatic increase in completeness and timeliness of data report and data review.


Assuntos
Internet , Vigilância em Saúde Pública/métodos , Envio de Mensagens de Texto , Telefone Celular , Coleta de Dados , Custos de Cuidados de Saúde , Humanos , Avaliação de Resultados em Cuidados de Saúde , Projetos Piloto , Projetos de Pesquisa , Inquéritos e Questionários , Togo , Navegador
11.
Environ Pollut ; 267: 115632, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33254645

RESUMO

Different scientific reports suggested link between exposure to radiofrequency radiation (RF) from mobile communications and induction of reactive oxygen species (ROS) and DNA damage while other studies have not found such a link. However, the available studies are not directly comparable because they were performed at different parameters of exposure, including carrier frequency of RF signal, which was shown to be a critical for appearance of the RF effects. For the first time, we comparatively analyzed genotoxic effects of UMTS signals at different frequency channels used by 3G mobile phones (1923, 1947.47, and 1977 MHz). Genotoxicity was examined in human lymphocytes exposed to RF for 1 h and 3 h using complimentary endpoints such as induction of ROS by imaging flow cytometry, DNA damage by alkaline comet assay, mutations in TP53 gene by RSM assay, preleukemic fusion genes (PFG) by RT-qPCR, and apoptosis by flow cytometry. No effects of RF exposure on ROS, apoptosis, PFG, and mutations in TP53 gene were revealed regardless the UMTS frequency while inhibition of a bulk RNA expression was found. On the other hand, we found relatively small but statistically significant induction of DNA damage in dependence on UMTS frequency channel with maximal effect at 1977.0 MHz. Our data support a notion that each specific signal used in mobile communication should be tested in specially designed experiments to rule out that prolonged exposure to RF from mobile communication would induce genotoxic effects and affect the health of human population.


Assuntos
Telefone Celular , Apoptose , DNA , Dano ao DNA , Humanos , Linfócitos , Estresse Oxidativo
13.
Environ Res ; 191: 109940, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33181972

RESUMO

BACKGROUND: The increasing popularity of mobile phones and the expansion of network infrastructure in Greece have given rise to public concerns about potential adverse health effects on sensitive groups, such as children, from long-term radio-frequency (RF) electromagnetic fields (EMFs) exposure. According to Greek law the RF limit values for sensitive land use (schools, hospitals, etc) have been set to 60% of those recommended by EU standard and 70% for the general population. AIMS: The objective of this study is to estimate mean RF-EMF exposure levels of Greek primary and secondary edu-cation schools located in urban environments. METHODS: In selecting the minimum sample size we observed that the variance of the random variable was unknown, as there has been no similar previous study in Greece with schools as the target population. For this reason, a pilot study was conducted in 65 schools in order to estimate the standard deviation of the population and use that value to calculate the minimum sample size. Using a random machine num-ber generator contracted in R based on pseudo-random number algorithms, we obtained a sample of 492 schools in order to estimate the mean value for RF-EMF radiation sources in the 27 MHz-3GHz range in schools within urban environments in Greece. RESULTS: We have performed the appropriate hypothesis test to get that there is sufficient evidence at the α = 0.05 level to conclude that the mean value for RF-EMF radiation sources in the 27 MHz-3GHz range, in schools within urban environments in Greece, is equal to 0.42 V/m, also a 95% confidence interval for the mean value is (0.4024, 0.4395)] with central value equal to the sample mean 0.4209. CONCLUSION: In conclusion, the exposure level in the locations tested are both below 60% of the highest limit set by ICNIRP (International Commision on Non-Ionizing Radiation Protection) regarding sensitive land use.


Assuntos
Telefone Celular , Campos Eletromagnéticos , Criança , Exposição Ambiental , Grécia , Humanos , Projetos Piloto , Ondas de Rádio , Instituições Acadêmicas
14.
Sci Data ; 7(1): 382, 2020 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-33177516

RESUMO

As vectors of malaria, dengue, zika, and yellow fever, mosquitoes are considered one of the more severe worldwide health hazards. Widespread surveillance of mosquitoes is essential for understanding their complex ecology and behaviour, and also for predicting and formulating effective control strategies against mosquito-borne diseases. One technique involves using bioacoustics to automatically identify different species from their wing-beat sounds during flight. In this dataset, we collect sounds of three species of mosquitoes: Aedes Aegypti, Culex Quinquefasciatus & Pipiens, and Culiseta. These species were collected and reproduced in the laboratory of the Natural History Museum of Funchal, in Portugal, by entomologists trained to recognize and classify mosquitoes. For collecting the samples, we used a microcontroller and a mobile phone. The dataset presents audio samples collected with different sampling rates, where 34 audio features characterize each sound file, making it is possible to observe how mosquito populations vary heterogeneously. This dataset provides the basis for feature extraction and classification of flapping-wing flight sounds that could be used to identify different species.


Assuntos
Acústica , Aedes/classificação , Culex/classificação , Voo Animal , Som , Aedes/fisiologia , Animais , Telefone Celular , Culex/fisiologia , Mosquitos Vetores/classificação , Mosquitos Vetores/fisiologia , Portugal
15.
PLoS One ; 15(11): e0241981, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33166359

RESUMO

Mobile sensing data has become a popular data source for geo-spatial analysis, however, mapping it accurately to other sources of information such as statistical data remains a challenge. Popular mapping approaches such as point allocation or voronoi tessellation provide only crude approximations of the mobile network coverage as they do not consider holes, overlaps and within-cell heterogeneity. More elaborate mapping schemes often require additional proprietary data operators are highly reluctant to share. In this paper, I use human settlement information extracted from publicly available satellite imagery in combination with stochastic radio propagation modelling techniques to account for that. I show in a simulation study and a real-world application on unemployment estimates in Senegal that better coverage approximations do not necessarily lead to better outcome predictions.


Assuntos
Telefone Celular , Tecnologia de Sensoriamento Remoto/métodos , Sistemas de Informação Geográfica , Humanos , Armazenamento e Recuperação da Informação , Imagens de Satélites , Senegal
16.
PLoS One ; 15(11): e0241791, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33152006

RESUMO

Household food insecurity remains a major policy challenge in low-income countries. Identifying accurate measures that are relatively easy to collect has long been an important priority for governments seeking to better understand and fund solutions for communities in remote settings. Conventional approaches based on surveys can be time-consuming and costly, while data derived from satellite imagery represent proxies focused on biological processes (such as rainfall and crop growth) lack granularity in terms of human behaviors. As a result, there has recently been interest in tapping into the large digital footprint offered by mobile phone usage. This paper explores empirical relationships between data relating to mobile phones (ownership and spending on service use), and food insecurity in rural Nepal. The work explores models for estimating community-level food insecurity through aggregated mobile phone variables in a proof-of-concept approach. In addition, sensitivity analyses were performed by considering the performance of the models under different settings. The results suggest that mobile phone variables on ownership and expenditure can be used to estimate food insecurity with reasonable accuracy. This suggests that such an approach can be used in and beyond Nepal as an option for collecting timely food insecurity information, either alone or in combination with conventional approaches.


Assuntos
Telefone Celular/estatística & dados numéricos , Propriedade/estatística & dados numéricos , Pobreza/estatística & dados numéricos , Feminino , Humanos , Nepal/epidemiologia , Estudo de Prova de Conceito , População Rural , Comunicações Via Satélite , Fatores Socioeconômicos
17.
Isr Med Assoc J ; 22(9): 587-593, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33236561

RESUMO

BACKGROUND: Dependence on technology and electronic media devices (EMDs) is a significant phenomenon of modern life with many people experiencing adverse symptoms during abstention. Orthodox Jews abstain from using all forms of EMDs for 25 consecutive hours every week on the Sabbath but do not appear to experience significant adverse reactions during this abstention. OBJECTIVES: To better examine whether Sabbath observant Jews experience fewer and less severe adverse symptoms while abstaining from EMDs on the Sabbath compared to weekdays. METHODS: Ten Sabbath observant Jews abstained from using all forms of EMDs for 25 hours on a Sabbath and again on a weekday. At the end of each 25-hour period participants completed a 12-item Likert-type scale self-assessment of 1-5, once as a report of their condition at 10:00 and again after 25 hours of abstaining. The authors compared the mean results of Sabbath and weekday using Wilcoxon signed ranks test. P ≤ 0.05 was considered significant. RESULTS: Overall, discomfort on Sabbath was less than on weekdays. A statistically significant decrease on the Sabbath was found at both the 10:00 reporting time and after 25 hours in anxiety, restlessness, thoughts and plans of using devices, and overall difficulty to abstain. Significance was found for feelings of not knowing what to do with time (10:00) and moodiness and irritability, being drawn to devices, and cravings achieved significance (after 25 hours). CONCLUSIONS: Sabbath observant Jews reported statistically significant less adverse reactions while abstaining from EMDs on the Sabbath compared to on a weekday.


Assuntos
Comportamento Aditivo/psicologia , Telefone Celular , Internet , Judeus/psicologia , Adulto , Feminino , Humanos , Israel , Masculino , Projetos Piloto , Inquéritos e Questionários
18.
Stud Health Technol Inform ; 275: 82-86, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33227745

RESUMO

Patient portals are used as a means to facilitate communication, performing administrative tasks, or accessing one's health record. In a retrospective analysis of real-world data from the Swedish National Patient Portal 1177.se, we describe the rate of adoption over time, as well as how patterns of device usage have changed over time. In Jan 2013, 53% of all visits were made from a computer, and 38% from a mobile phone. By June 2020, 77% of all visits were made from a mobile phone and only 20% from a computer. These results underline the importance of designing responsive patient portals that allow patients to use any device without losing functionality or usability.


Assuntos
Telefone Celular , Portais do Paciente , Comunicação , Registros Eletrônicos de Saúde , Humanos , Estudos Retrospectivos , Suécia
19.
Pan Afr Med J ; 35(Suppl 2): 135, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33193950

RESUMO

Tuberculous neuroretinis, a relatively rare manifestation of extra-pulmonary tuberculosis, is characterized by optic disc edema, peripapillary and macula swelling, with hard exudates forming a partial or complete 'macular star' While the disease may present a diagnostic challenge for Ophthalmologists, prognosis is usually good, with proper management. The Coronavirus Disease 2019 (COVID-19) pandemic has presented a healthcare delivery dilemma in many parts of the world, with poor accessibility to, and under-utilization of, important healthcare services by non-COVID-19-related cases. Herein is a report of a case of tuberculous neuroretinitis in Lagos, Nigeria, whose care was negatively impacted by the ongoing pandemic through the combined factors of the interruption of clinical services during the lockdown, patient avoidance of healthcare facilities and the absence of robust telehealth services. These all culminated in the delayed institution of therapy which may be responsible for the poor visual outcome of no-light-perception.


Assuntos
Continuidade da Assistência ao Paciente , Infecções por Coronavirus/epidemiologia , Acesso aos Serviços de Saúde , Pandemias , Pneumonia Viral/epidemiologia , Retinite/tratamento farmacológico , Tuberculose Ocular/tratamento farmacológico , Antituberculosos/uso terapêutico , Telefone Celular , Diagnóstico Tardio , Técnicas de Diagnóstico Oftalmológico , Quimioterapia Combinada , Feminino , Fechamento de Instituições de Saúde , Humanos , Macula Lutea/patologia , Nigéria/epidemiologia , Fotografação , Quarentena , Retinite/diagnóstico , Telemedicina , Tomografia de Coerência Óptica , Resultado do Tratamento , Recusa do Paciente ao Tratamento , Tuberculose Ocular/diagnóstico , Adulto Jovem
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